ADVANCED LIFE SUPPORT CORP.

FREDERICKSBURG, VA
NPI1386195311
Entity TypeOrganization
Authorized ContactMAWIA BAKRI MOHAMED
Owner
540-207-9284
Organization Subpart ?No
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: VA  166)
Enumeration Date2016-10-14
Last Update Date2016-10-14
Business Address
ADVANCED LIFE SUPPORT CORP.
11905 MAIN ST
FREDERICKSBURG, VA 22408-7326
Phone number: 540-207-9284
Mailing Address
ADVANCED LIFE SUPPORT CORP.
PO BOX 6101
FREDERICKSBURG, VA 22403-6101
Phone number: 540-207-9287