Organization
PERRY TOWNSHIP LOGAN COUNTY OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY STALLING (CLERK)
(937) 666-3415
Entity
Organization
Contact information
Practice address
3265 STREET STATE, EAST LIBERTY, OH 43319-0035
(937) 666-3404
Mailing address
PO BOX 35, EAST LIBERTY, OH 43319-0035
(937) 666-3404
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3070975
—
OH
Enumeration date
05/31/2007
Last updated
02/15/2013
Update your record
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