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Organization
KLG MOBILE INTENSIVE CO LLC
Active
Organization
KLG MOBILE INTENSIVE CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL LEE GRIGGS (PRESIDENT CEO)
(330) 337-4555
Entity
Organization
Contact information
Practice address
1516 B SOUTH LINCOLN AVENUE, SALEM, OH 44460-4249
(330) 337-4555
(330) 337-4552
Mailing address
1516 B SOUTH LINCOLN AVENUE, SALEM, OH 44460-4249
(330) 337-4555
(330) 337-4552
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
150062
OH
343900000X
Non-emergency Medical Transport (VAN)
155075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2181071
—
OH
Enumeration date
04/20/2006
Last updated
03/09/2012
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