Organization
LEAMONS AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK P LEAMON (OWNER)
(815) 369-4512
Entity
Organization
Contact information
Practice address
210 W MAIN ST, LENA, IL 61048-9770
(815) 369-4512
(815) 369-2309
Mailing address
210 W MAIN ST, LENA, IL 61048-9770
(815) 369-4512
(815) 369-2309
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1363
IL
Other
Enumeration date
12/27/2005
Last updated
04/03/2012
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