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Organization

LIBERTY EMS

Active
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Organization

LIBERTY EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD FREDRICK SENKBEIL (CEO/ PRESIDENT)
(443) 789-7442
Entity
Organization

Contact information

Practice address
614 BRIDGETON RD, FAWN GROVE, PA 17321-9350
(443) 536-4077
Mailing address
614 BRIDGETON RD, FAWN GROVE, PA 17321-9350

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3416L0300X
Land Ambulance
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
11/11/2012
Last updated
03/28/2014
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