Organization
A A TWSP VFD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEVONEY R COLLINS (SECRETARY)
(765) 528-2437
Entity
Organization
Contact information
Practice address
6494 ST RD 42, EMINENCE, IN 46125-0225
(765) 528-2437
(765) 528-2169
Mailing address
PO BOX 225, EMINENCE, IN 46125-0225
(765) 528-2437
(765) 528-2169
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0677
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20105444A
—
IN
Enumeration date
05/26/2009
Last updated
06/20/2016
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