Organization
LIFELINE LOGISTICS LLC
Active
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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