Provider Demographics
NPI:1205131455
Name:LIFELINE AMBULETTE SERVICES LLP
Entity type:Organization
Organization Name:LIFELINE AMBULETTE SERVICES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:BORRA
Authorized Official - Last Name:CHIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-340-4526
Mailing Address - Street 1:37 ABINGTON CT
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-1939
Mailing Address - Country:US
Mailing Address - Phone:609-233-7285
Mailing Address - Fax:609-616-5116
Practice Address - Street 1:37 ABINGTON CT
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-1939
Practice Address - Country:US
Practice Address - Phone:609-233-7285
Practice Address - Fax:609-616-5116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)