Organization
ENTERPRISE RESCUE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVON BOSARGE EMT-II (TREASURE)
(334) 347-0333
Entity
Organization
Contact information
Practice address
519 E LEE ST, ENTERPRISE, AL 36330-2284
(334) 347-0333
(334) 347-7666
Mailing address
PO BOX 311190, ENTERPRISE, AL 36331-1190
(334) 347-0333
(334) 347-7666
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
219
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51050326
BCBS/AL
AL
Enumeration date
08/09/2006
Last updated
08/27/2007
Update your record
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