| Organization Name: | LIFE SAVER AMBULANCE, LLC |
| NPI Number: | 1083847412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LIEZL S. ZABALA (MANAGER) |
| Mailing Address: | 1413 Chestnut Ave Hillside |
| State: | NJ US |
| Postal Code: | 072051132 |
| Phone Number: | 9086880026 |
| Fax Number: | 9086881371 |
| NPI Enumeration Date: | 09/02/2009 |
| NPI Last Update Date: | 09/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |