Organization
SOUTHLAND HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LUNAN (CEO)
(205) 695-9800
Entity
Organization
Contact information
Practice address
2030 AVON CT, CHARLOTTESVILLE, VA 22902-8735
(434) 975-8253
Mailing address
PO BOX 1497, VERNON, AL 35592-1497
(205) 695-9800
(205) 695-7677
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1194
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4079766
—
TN
Enumeration date
05/02/2006
Last updated
08/22/2020
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