Organization Name: | TOTAL LIFE CARE EMS, INC |
NPI Number: | 1144498445 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA L MASON (OWNER) |
Mailing Address: | 19631 Highway 62 Garfield |
State: | AR US |
Postal Code: | 727328977 |
Phone Number: | 4796561280 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2008 |
NPI Last Update Date: | 12/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |