Organization
LAVALE VOLUNTEER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY L CARTER (BILLING AGENT)
(410) 479-4790
Entity
Organization
Contact information
Practice address
977 NATIONAL HWY, CUMBERLAND, MD 21502-7330
(410) 479-4790
(410) 479-4793
Mailing address
PO BOX 589, DENTON, MD 21629-0589
(410) 479-4790
(410) 479-4793
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004972
—
WV
05
—
408682100
—
MD
Enumeration date
06/28/2006
Last updated
11/12/2012
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