| Organization Name: | ST. LOUIS ANGELS LLC |
| NPI Number: | 1497187702 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAISY L. GUERRA (ADMINISTRATOR) |
| Mailing Address: | 126 Eli St Roma |
| State: | TX US |
| Postal Code: | 785846646 |
| Phone Number: | 9562246198 |
| Fax Number: | 9568474472 |
| NPI Enumeration Date: | 08/08/2013 |
| NPI Last Update Date: | 08/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1000902 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |