# DALEVILLE VOLUNTEER RESCUE SQUAD

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

## Provider details

- **NPI number:** 1962470716
- **Authorized official:** CHARLES G SAPP JR. (BILLING CLERK RECORDS)
- **Authorized official phone:** (334) 598-4442

## Contact information

- **Practice address:** 730 S DALEVILLE AVE, DALEVILLE, AL 36322
- **Practice address phone:** (334) 598-4442
- **Practice address fax:** (334) 598-8670
- **Mailing address:** PO BOX 188, DALEVILLE, AL 36322
- **Mailing address phone:** (334) 598-4442
- **Mailing address fax:** (334) 598-8670

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 08/22/2020