Organization
CENTRAL LIFESAVING AND RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE ALLEN RICHARDSON JR. (CAPTAIN)
(434) 532-6015
Entity
Organization
Contact information
Practice address
5736 GASBURG ROAD, GASBURG, VA 23857-2385
(434) 532-6015
(434) 532-6015
Mailing address
PO BOX 386, GASBURG, VA 23857-0386
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
164
VA
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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