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Organization

LIFECARE MEDICAL TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY JOSEPH OLSON (MEMBER)
(706) 994-3536
Entity
Organization

Contact information

Practice address
112 FOXWOOD DR, BLAIRSVILLE, GA 30512-4683
(706) 994-3536
Mailing address
112 FOXWOOD DR, BLAIRSVILLE, GA 30512-4683

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
02/09/2015
Last updated
02/09/2015
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