Provider Demographics
NPI:1073945192
Name:ROL AMBULANCE LLC
Entity Type:Organization
Organization Name:ROL AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-572-4893
Mailing Address - Street 1:9 CONCORD WAY
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1271
Mailing Address - Country:US
Mailing Address - Phone:201-572-4893
Mailing Address - Fax:908-275-3548
Practice Address - Street 1:9 CONCORD WAY
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-1271
Practice Address - Country:US
Practice Address - Phone:201-572-4893
Practice Address - Fax:908-275-3548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ04005909793416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport