Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider |
| NPI Number | 1841337920 |
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| LBN Legal business name | WOODMERE VILLAGE | ||||
| Authorized official | JOHNNY BREWINGTON - (FIRE CHIEF) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/30/2007 | ||||
| Last updated | 06/13/2018 - About 8 years ago | ||||
| Identifiers |
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