Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1326079971 |
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| LBN Legal business name | LEOLA AMBULANCE | ||||||||
| Authorized official | MICHELE SMITH - (ACCOUNT REPRESENTATIVE) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/05/2006 | ||||||||
| Last updated | 01/28/2013 - About 13 years ago | ||||||||
| Identifiers |
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