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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