Healthcare Provider Details

I. General information

NPI: 1811927627
Provider Name (Legal Business Name): ART OF LIFE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 11/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 GRANT AVE
PHILADELPHIA PA
19114-2301
US

IV. Provider business mailing address

2750 GRANT AVE
PHILADELPHIA PA
19114-2301
US

V. Phone/Fax

Practice location:
  • Phone: 215-552-9009
  • Fax: 888-893-4563
Mailing address:
  • Phone: 215-552-9009
  • Fax: 888-893-4563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: NICK BROYTMAN
Title or Position: PRESIDENT
Credential:
Phone: 215-552-9077