Organization
LIFESAVERS
Active
Organization
LIFESAVERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GRANGE (OWNER)
(909) 880-2979
Entity
Organization
Contact information
Practice address
18592 CAJON BLVD, SAN BERNARDINO, CA 92407-1604
(909) 880-2979
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
(800) 906-6552
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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