| NPI | 1518091529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA LOMOVA Owner 215-464-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: PA 07005) |
| Additional Taxonomies | 341600000X Ambulance (Licence: PA 383380) |
| 3416L0300X Ambulance, Land Transport (Licence: PA 07005) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2010-10-06 |