Organization
AVONMORE LIFESAVERS EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE BRADY (CFO)
(724) 468-1212
Entity
Organization
Contact information
Practice address
323 WESTMORELAND AVE, AVONMORE, PA 15618-0246
(724) 468-1212
Mailing address
119 MAIN ST, P O BOX 14, SLICKVILLE, PA 15684-0014
(724) 468-1212
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04268
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015175860001
—
PA
Enumeration date
10/11/2006
Last updated
07/23/2007
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