Organization
LIFE SUPPORT AMBULANCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS CARSON (MANAGER)
(619) 988-6512
Entity
Organization
Contact information
Practice address
1435 AGATE CREEK WAY, CHULA VISTA, CA 91915-1636
(619) 988-6512
Mailing address
2831 SAINT ROSE PKWY, HENDERSON, NV 89052-4840
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Enumeration date
04/28/2014
Last updated
10/16/2014
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