Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI # | 1619567005 |
| LBN Legal business name | GLEN LYN VOLUNTEER FIRE AND RESCUE |
| Authorized official | SHAWN FAREWELL - (EMS CAPTAIN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/20/2021 |
| Last updated | 01/20/2021 - About 5 years ago |
| Identifiers | n/a |
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