| NPI | 1306162698 |
|---|---|
| Doing Business As | LIFE LINE EMS |
| Entity Type | Organization |
| Authorized Contact | GLYN O GAMBLE President 706-256-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: GA 106-09) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: AL 1002) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |