Lifecare Ambulance, Inc.

NPI #1790742781 in Elyria, Ohio

Provider Information

NPI Number: 1790742781
Entity Type: Organization
Organization Name: Lifecare Ambulance, Inc.
Primary Specialty: Ambulance
Enumeration Date: Apr 26, 2006
Last Updated: Oct 4, 2011

Practice Location

Address: 205 WEST AVENUE
City: Elyria
State: Ohio
ZIP Code: 44035-5309
Phone: (440) 323-6111

Authorized Official

Name: MR. PETER C. ANDRE DE LA PORTE
Title: PRESIDENT
Phone: (440) 323-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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