Organization
WESLEYVILLE HOSE COMPANY NO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN GARVER (LIEUTENIENT)
(814) 899-6704
Entity
Organization
Contact information
Practice address
3421 BUFFALO RD, ERIE, PA 16510-1813
(814) 899-6704
(814) 899-4814
Mailing address
3421 BUFFALO RD, ERIE, PA 16510-1813
(814) 899-6704
(814) 899-4814
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
04281
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008899870001
—
PA
Enumeration date
02/15/2007
Last updated
02/10/2020
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