Organization
GANTT AREA VOLUNTEER RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN BOUTWELL (CO-CAPTAIN)
(334) 818-1181
Entity
Organization
Contact information
Practice address
28905 COMMERCE ST., GANTT, AL 36038
(334) 388-0501
(334) 388-0501
Mailing address
PO BOX 113, GANTT, AL 36038-0015
(334) 388-0501
(334) 388-0501
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
239
AL
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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