Organization
SOUTH HERO RESCUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED OFFICIAL)
(860) 257-7080
Entity
Organization
Contact information
Practice address
329 ROUTE 2, SOUTH HERO, VT 05486-9998
(802) 343-0431
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-7080
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0313
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031059
—
VT
Enumeration date
12/14/2016
Last updated
12/12/2017
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