# BRYANS ROAD VOL FIRE DEPT & RESCUE SQUAD INC

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

## Provider details

- **NPI number:** 1578077996
- **Authorized official:** CATHY LYNN CARTER (BILLING AGENT)
- **Authorized official phone:** (410) 479-4790

## Contact information

- **Practice address:** 3099 LIVINGSTON RD, BRYANS ROAD, MD 20616
- **Practice address phone:** (301) 375-7055
- **Mailing address:** PO BOX 541, DENTON, MD 21629-0541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2017
- **Last updated:** 11/21/2017