Organization
TLC ADVANCED LIFE SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COOK (OWNER)
(717) 372-1178
Entity
Organization
Contact information
Practice address
1819 WOODEN BRIDGE RD, THREE SPRINGS, PA 17264-9120
(717) 372-1178
(814) 685-3003
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02176
PA
Other
Enumeration date
08/18/2005
Last updated
07/20/2007
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