Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Air Transport |
3416A0800X | 59 | Ambulance Service Provider | |
Ambulance |
341600000X | 59 | Ambulance Service Provider |
| NPI # | 1831223486 |
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| LBN Legal business name | LIFE GUARD INTERNATIONAL, INC. | ||||
| Authorized official | EDWARD VAN HORNE - (COO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/15/2007 | ||||
| Last updated | 08/22/2019 - About 7 years ago | ||||
| Identifiers |
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