Provider Demographics
NPI:1619438850
Name:LIFE LINK EMS, LLC
Entity Type:Organization
Organization Name:LIFE LINK EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDI
Authorized Official - Middle Name:
Authorized Official - Last Name:AGANJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-860-1701
Mailing Address - Street 1:485 BARBASHELA DR
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30088-1137
Mailing Address - Country:US
Mailing Address - Phone:678-860-1701
Mailing Address - Fax:866-894-1551
Practice Address - Street 1:3500 N DECATUR RD # 106E
Practice Address - Street 2:
Practice Address - City:SCOTTDALE
Practice Address - State:GA
Practice Address - Zip Code:30079-6816
Practice Address - Country:US
Practice Address - Phone:678-860-1701
Practice Address - Fax:866-894-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies