Organization
NELLACARE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAVETTE L CAMPBELL (OWNER/PRESIDENT)
(212) 252-0169
Entity
Organization
Contact information
Practice address
5398 WYNNEFIELD AVE, SUITE 403, PHILADELPHIA, PA 19131-2344
(215) 252-0169
Mailing address
5398 WYNNEFIELD AVE, SUITE 403, PHILADELPHIA, PA 19131-2344
(215) 252-0169
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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