Organization
LIFELINE LOGISTICS LLC
Active
Other names
Lifeline Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOMIRUWAN WANNIARACHCHIGE (MANAGING PARTNER)
(909) 979-4020
Entity
Organization
Contact information
Practice address
2149 E GARVEY AVE N, SUITE#A-2, WEST COVINA, CA 91791-1538
(909) 979-4020
(909) 524-4455
Mailing address
2149 E GARVEY AVE N, SUITE#A-2, WEST COVINA, CA 91791-1538
(909) 979-4020
(909) 524-4455
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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