| Organization Name: | RESCUE LIFE AMBULANCE, INC. |
| NPI Number: | 1114298106 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GABRIEL GERMAN (PRESIDENT) |
| Mailing Address: | 111 Buck Rd Unit 500 Suite 8 Huntingdon Valley |
| State: | PA US |
| Postal Code: | 190061544 |
| Phone Number: | 2158588300 |
| Fax Number: | 2153224800 |
| NPI Enumeration Date: | 01/23/2012 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 12013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |