Organization
LUMBERTON EMERGENCY RESCUE UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-9201
Entity
Organization
Contact information
Practice address
2391 N ROBERTS AVE, LUMBERTON, NC 28358-2863
(910) 738-7275
(910) 738-7292
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-9201
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406689
—
NC
Enumeration date
10/26/2005
Last updated
08/22/2020
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