Organization
ANSON RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
208 E MORGAN ST, WADESBORO, NC 28170-2223
(704) 694-4090
(704) 694-2781
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406691
—
NC
Enumeration date
10/10/2005
Last updated
11/15/2011
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