Organization
LIFEQUEST AMBULANCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFORD CONSTANT (OWNER)
(862) 218-8468
Entity
Organization
Contact information
Practice address
65 RIVER RD, 306, NUTLEY, NJ 07110-3499
(973) 542-8184
Mailing address
65 RIVER RD, 306, NUTLEY, NJ 07110-3499
(973) 542-8184
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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