Organization
LAFAYETTE TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF HALL (CHIEF)
(330) 722-4965
Entity
Organization
Contact information
Practice address
6776 WEDGEWOOD RD, MEDINA, OH 44256-8822
(330) 722-4965
(330) 722-3059
Mailing address
6776 WEDGEWOOD RD, MEDINA, OH 44256-8822
(330) 722-4965
(330) 722-3059
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247129
—
OH
Enumeration date
05/03/2007
Last updated
08/19/2011
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