# GRAY FUNERAL HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Culberson Funeral Home Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629097704
- **Authorized official:** MR. RICHARD L CULBERSON (VICE PRESIDENT FUNERAL DIRECTOR EMT)
- **Authorized official phone:** (765) 489-5511

## Contact information

- **Practice address:** 51 SOUTH WASHINGTON STREET, HAGERSTOWN, IN 47346-1547
- **Practice address phone:** (765) 489-5511
- **Practice address fax:** (765) 489-5936
- **Mailing address:** 51 SOUTH WASHINGTON STREET, HAGERSTOWN, IN 47346-1547
- **Mailing address phone:** (765) 489-5511
- **Mailing address fax:** (765) 489-5936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 890045 | IN | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 06/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100282140A | — | IN |