# FIRST-LINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578009155
- **Authorized official:** DUSTIN KELLY NRP (OWNER/CFO)
- **Authorized official phone:** (601) 572-9320

## Contact information

- **Practice address:** 2354 UNION RD, WALNUT GROVE, MS 39189-5189
- **Practice address phone:** (601) 654-4171
- **Mailing address:** 2354 UNION RD, WALNUT GROVE, MS 39189-5189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | 382LEAKE | MS | Yes |

## Other

- **Enumeration date:** 01/06/2017
- **Last updated:** 03/17/2018
