Organization
UPPER CLEVELAND RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY KIESER (DIRECTOR OF OPERATIONS)
(704) 538-8520
Entity
Organization
Contact information
Practice address
1032 WEST STAGECOACH TRAIL, LAWNDALE, NC 28090
(704) 538-7911
(980) 368-0568
Mailing address
PO BOX 278, LAWNDALE, NC 28090-0278
(704) 538-7911
(980) 368-0568
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1313
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406926
—
NC
Enumeration date
05/22/2007
Last updated
09/30/2020
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