Organization
LAKE HARMONY RESCUE SQUAD AND AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE E BLACKWELL (PRESIDENT)
(570) 722-1782
Entity
Organization
Contact information
Practice address
105 LAKE DRIVE, LAKE HARMONY, PA 18624
(570) 722-1782
(570) 722-4655
Mailing address
PO BOX 564, LAKE HARMONY, PA 18624-0564
(570) 722-1782
(570) 722-4655
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012328970001
—
PA
01
—
590007092
RR MEDICARE
PA
Enumeration date
03/08/2006
Last updated
04/14/2014
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