Organization
SLOCUM TOWNSHIP VOLUNTEER AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE WIATEROWSKI (CAPTAIN & TREASURER)
(570) 868-2207
Entity
Organization
Contact information
Practice address
957 BLUE RIDGE TRL, WAPWALLOPEN, PA 18660-8811
(570) 868-2207
Mailing address
957 BLUE RIDGE TRL, WAPWALLOPEN, PA 18660-8811
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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