Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Ambulance |
341600000X | 59 | Ambulance Service Provider |
| NPI Number | 1750988952 |
| LBN Legal business name | BLAST RESOLVE, LLC |
| Authorized official | STUART STEIN - (CEO AND PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/01/2020 |
| Last updated | 10/01/2020 - About 6 years ago |
| Identifiers | n/a |
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