Organization
DARRYL B. ESTES
Active
Other names
Liberty Ambulance Service, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL BRADLEY ESTES (OWNER/PRESIDENT)
(276) 546-6911
Entity
Organization
Contact information
Practice address
1320 W MORGAN AVE, PENNINGTON GAP, VA 24277-1916
(276) 546-6911
Mailing address
PO BOX 760, DRYDEN, VA 24243-0760
(276) 546-6911
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1237
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010294916
—
VA
Enumeration date
10/27/2006
Last updated
06/11/2008
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