Organization
ALLEGIANCE AMBULANCE INC
Active
Organization
ALLEGIANCE AMBULANCE INC
Active
Other names
Allegiance Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAVEL KOTOVETS (PRESIDENT)
(215) 715-1921
Entity
Organization
Contact information
Practice address
328 MAPLE AVE, HORSHAM, PA 19044-2125
(215) 715-1921
(215) 343-8070
Mailing address
1323 KATIE LN, NORTH WALES, PA 19454-1336
(215) 715-1921
(215) 343-8070
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
12001
PA
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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