Organization
LIFE TOUCH TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA ROXANNE BUCKNER RN (OWNER/MANAGER)
(304) 925-7420
Entity
Organization
Contact information
Practice address
1802 BIG BOTTOM HOLLOW RD, CHARLESTON, WV 25311-8201
(304) 925-7420
Mailing address
1802 BIG BOTTOM HOLLOW RD, CHARLESTON, WV 25311-8201
(304) 925-7420
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2235-2951
WV
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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