Organization
SUGARLOAF COMMUNITY RESCUE &
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY ANN SEWARD EMT (SECRETARY)
(570) 925-5824
Entity
Organization
Contact information
Practice address
987 ELK GROVE RD, BENTON, PA 17814-7404
(570) 925-6070
(570) 925-6070
Mailing address
987 ELK GROVE RD, BENTON, PA 17814-7404
(570) 925-6070
(570) 925-6070
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024805150001
—
PA
Enumeration date
10/24/2007
Last updated
11/02/2010
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