Organization
PELZER RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM E HEATON (A/R SUPERVISOR)
(864) 261-8859
Entity
Organization
Contact information
Practice address
141 LEBBY ST, PELZER, SC 29669-1721
(864) 261-8859
Mailing address
PO BOX 1934, ANDERSON, SC 29622-1934
(864) 261-8859
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB0108
—
SC
Enumeration date
10/20/2006
Last updated
04/08/2008
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