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NPI Code Detail

MEDICARE: LIFE SHIELD INC

MEDICARE: LIFE SHIELD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance

General Provider Information

NPI Number : 1649466848
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE SHIELD INC
Provider Business Mailing Address
First Line : 10108 BUSTLETON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-3704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10108 BUSTLETON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-3704
Country : US
Telephone Number : 215-605-3689
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : DAVID HAYR
Credential :
Telephone Number : 215-605-3689
Provider Enumeration Date : 09/20/2007
Last Update Date : 05/24/2016

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Directions to “LIFE SHIELD INC ” Practice Location

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