Organization
FIRST-LINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN KELLY NRP (OWNER/CFO)
(601) 572-9320
Entity
Organization
Contact information
Practice address
2354 UNION RD, WALNUT GROVE, MS 39189-5189
(601) 654-4171
Mailing address
2354 UNION RD, WALNUT GROVE, MS 39189-5189
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
382LEAKE
MS
Other
Enumeration date
01/06/2017
Last updated
03/17/2018
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