Organization Name: | ROL AMBULANCE LLC |
NPI Number: | 1073945192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VINCENT TROY SANTOS (OWNER) |
Mailing Address: | 9 Concord Way Morris Plains |
State: | NJ US |
Postal Code: | 079501271 |
Phone Number: | 2015724893 |
Fax Number: | 9082753548 |
NPI Enumeration Date: | 07/31/2013 |
NPI Last Update Date: | 08/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0400590979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |