Organization
PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WALCK (PRESIDENT)
(570) 676-5367
Entity
Organization
Contact information
Practice address
ROEMERVILLE RD, RT 390, GREENTOWN, PA 18426
(570) 676-3818
Mailing address
PO BOX 1846, SHAVERTOWN, PA 18708-0846
(570) 714-3694
(570) 714-3695
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013968170002
—
PA
Enumeration date
12/06/2006
Last updated
04/13/2009
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