Provider Demographics
NPI:1053977744
Name:LIFE LINE EMS, LLC
Entity type:Organization
Organization Name:LIFE LINE EMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NONYE
Authorized Official - Middle Name:
Authorized Official - Last Name:OZONOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-203-8778
Mailing Address - Street 1:4143 BLUEBONNET DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3909
Mailing Address - Country:US
Mailing Address - Phone:832-203-8778
Mailing Address - Fax:832-532-3697
Practice Address - Street 1:4143 BLUEBONNET DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3909
Practice Address - Country:US
Practice Address - Phone:832-203-8778
Practice Address - Fax:832-532-3697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport