Organization
DAVENPORT LIFE SAVING CREW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD TERRY AUSTIN (CAPTAIN)
(276) 202-9413
Entity
Organization
Contact information
Practice address
4014 HELEN HENDERSON HWY, DAVENPORT, VA 24239-0000
(276) 859-7108
Mailing address
4033 COUNCIL MOUNTAIN RD, HONAKER, VA 24260-4902
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/13/2023
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