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Organization
VERSAILLES VOLUNTEER LIFE RESCUE SQUAD, INC
Active
Organization
VERSAILLES VOLUNTEER LIFE RESCUE SQUAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON DEMANGE (PRESIDENT)
(937) 526-5714
Entity
Organization
Contact information
Practice address
220 W MAIN ST, VERSAILLES, OH 45380-1218
(937) 526-4899
Mailing address
548 E WOOD ST, VERSAILLES, OH 45380-1450
(937) 526-5714
(937) 526-5714
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000975
BLUECROSS/BLUESHIELD
OH
05
—
0973273
—
OH
Enumeration date
02/21/2006
Last updated
08/22/2020
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