Organization
VERSAILLES VFC #1
Active
Organization
VERSAILLES VFC #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASHAUN FORNEY (CFO)
(412) 751-3603
Entity
Organization
Contact information
Practice address
4919 THIRD STREET, MCKEESPORT, PA 15132-6222
(412) 751-3603
(412) 751-5909
Mailing address
4919 3RD ST, MCKEESPORT, PA 15132-6222
(412) 751-3603
(412) 751-5909
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04161
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077828930002
—
PA
Enumeration date
04/17/2007
Last updated
12/06/2007
Update your record
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