Provider Demographics
NPI:1255618625
Name:B 4 LIFE AMBULANCE INC
Entity type:Organization
Organization Name:B 4 LIFE AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOKLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-738-0163
Mailing Address - Street 1:842 RED LION RD
Mailing Address - Street 2:STE 21
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-1475
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:842 RED LION RD
Practice Address - Street 2:STE 21
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-1475
Practice Address - Country:US
Practice Address - Phone:267-738-0163
Practice Address - Fax:215-271-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-13
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance