| Organization Name: | TLC ADVANCED LIFE SUPPORT, LLC |
| NPI Number: | 1801888664 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMMY COOK (OWNER) |
| Mailing Address: | 1819 Wooden Bridge Rd Three Springs |
| State: | PA US |
| Postal Code: | 172649120 |
| Phone Number: | 7173721178 |
| Fax Number: | 8146853003 |
| NPI Enumeration Date: | 08/18/2005 |
| NPI Last Update Date: | 07/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 02176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |