| NPI | 1962539429 |
|---|---|
| Doing Business As | LIFE LINE AMBULANCE |
| Entity Type | Organization |
| Authorized Contact | DMITRIY DOROTOV Owner 215-464-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: PA 04088) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-04-20 |