# FAITHORN RESCUE SQUAD

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

## Provider details

- **NPI number:** 1740685809
- **Authorized official:** SUSAN K DEVOE (TREASURER)
- **Authorized official phone:** (906) 438-2243

## Contact information

- **Practice address:** W8601 BLUM RD, VULCAN, MI 49892-9635
- **Practice address phone:** (906) 438-2243
- **Mailing address:** W8601 BLUM RD, VULCAN, MI 49892-9635
- **Mailing address phone:** (906) 438-2243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 869309 | MI | Yes |

## Other

- **Enumeration date:** 10/30/2014
- **Last updated:** 10/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1467434258 | — | MI |