Organization
MANGOHICK VOLUNTEER FIRE DEPARTMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA S. JEWELL (EMS CAPTAIN)
(804) 769-4381
Entity
Organization
Contact information
Practice address
3493 KING WILLIAM RD., AYLETT, VA 23009
(804) 994-9800
Mailing address
PO BOX 715, MANQUIN, VA 23106-0715
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1069
VA
Other
Enumeration date
04/01/2016
Last updated
06/20/2018
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