Organization
FAITHORN RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN K DEVOE (TREASURER)
(906) 438-2243
Entity
Organization
Contact information
Practice address
W8601 BLUM RD, VULCAN, MI 49892-9635
(906) 438-2243
Mailing address
W8601 BLUM RD, VULCAN, MI 49892-9635
(906) 438-2243
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
869309
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467434258
—
MI
Enumeration date
10/30/2014
Last updated
10/30/2014
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