NPI 1083929574
Lifeboat14llc
Practice location
- Address
- 218 Estates Dr, Roseville, CA 95678-2312
- Phone
- (916) 521-8665
- Mailing address
- 133 Privett CT, Roseville, CA 95747-6440
Authorised official
- Name
- Petrus Hendrik van Niekerk
- Title
- Owner
- Phone
- (916) 521-8665
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1083929574
- Entity type
- Organization
- NPI issued
- 9 Aug 2010
- Record last updated
- 9 Aug 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.