Organization
WELCOME AMBULANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLGA LATYSHEVA PH.D. (VICE-PRESIDENT)
(215) 820-0584
Entity
Organization
Contact information
Practice address
1631 LORETTA AVE, UNIT 3, FEASTERVILLE, PA 19053-7310
(215) 750-0740
(215) 750-0564
Mailing address
664 VALLEY STREAM CIR, LANGHORNE, PA 19053-1953
(215) 750-0740
(215) 750-0564
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03091
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000412000
INDEPENDENCE BLUE CROSS
PA
05
—
0019487320001
—
PA
01
—
30006053
KEYSTONE MERCY
PA
Enumeration date
04/10/2006
Last updated
12/09/2009
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