Organization
EDWARD AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMEY BAKER (CEO)
(248) 304-6023
Entity
Organization
Contact information
Practice address
1701 QUINCY AVE, STE 13, NAPERVILLE, IL 60540-3955
(630) 548-1572
Mailing address
1701 QUINCY AVE, STE 13, NAPERVILLE, IL 60540-3955
(630) 548-1572
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
088967
IL
3416L0300X
Land Ambulance
Primary
088967
IL
343900000X
Non-emergency Medical Transport (VAN)
088967
IL
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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