Organization
MOBILE LIFE SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA MONTENOGRO (DIRECTOR OF CUSTOMER SERVICE)
(845) 561-5698
Entity
Organization
Contact information
Practice address
3188 ROUTE 9W, NEW WINDSOR, NY 12553
(845) 562-4368
(845) 565-8019
Mailing address
PO BOX 471, NEWBURGH, NY 12551
(845) 562-4368
(845) 565-8019
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
341600000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00674584
—
NY
Enumeration date
08/15/2005
Last updated
06/18/2021
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