Organization
LITTON AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE K LITTON (ADMINISTRATOR)
(618) 244-1617
Entity
Organization
Contact information
Practice address
808 S 17TH ST, MOUNT VERNON, IL 62864-4667
(618) 244-1617
Mailing address
808 S 17TH ST, P.O. BOX 18, MOUNT VERNON, IL 62864-4667
(618) 244-1617
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5133
IL
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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