Organization Name: | SUNLIFE AMBULANCE INC. |
NPI Number: | 1063790327 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DMITRY S MASYUK (OWNER/OFFICER) |
Mailing Address: | 2522 State Rd. Bldg. D Unit 101 Bensalem |
State: | PA US |
Postal Code: | 19020 |
Phone Number: | 2152458111 |
Fax Number: | 2152457111 |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 11036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |