Organization
TOWNSHIP OF MONROE TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-7080
Entity
Organization
Contact information
Practice address
43 S UNION ST, LUCAS, OH 44843-9565
(419) 892-2200
(419) 892-2200
Mailing address
43 S UNION ST, LUCAS, OH 44843-9565
(419) 892-2200
(419) 892-2200
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02-1097400 08972
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2740878
—
OH
Enumeration date
06/14/2006
Last updated
12/04/2007
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