Organization
KACZOR ENTERPRISES INC
Active
Other names
U. S. Ambulance EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R KEANON (CEO)
(912) 592-3643
Entity
Organization
Contact information
Practice address
55 DELLMONTE RD, DOUGLAS, GA 31535-6135
(912) 592-3643
(912) 393-1011
Mailing address
2236 MCKINNON RD, DOUGLAS, GA 31535-3102
(912) 592-3643
(912) 393-1011
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
034-02
GA
Other
Enumeration date
02/27/2014
Last updated
10/21/2014
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