Organization
LIBERTY REGIONAL FOUNDATION, INC.
Active
Other names
Liberty Regional EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA SHUMAN (ADMINSTRATIVE COORDINATOR)
(912) 369-9420
Entity
Organization
Contact information
Practice address
474 S MAIN ST, HINESVILLE, GA 31313-4339
(912) 369-9420
(912) 368-4258
Mailing address
PO BOX 115, HINESVILLE, GA 31310-0115
(912) 369-9420
(912) 368-4258
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
089-02
GA
Other
Enumeration date
07/11/2006
Last updated
05/21/2020
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