Organization
GATE SIX HOLDING COMPANY LLC
Active
Other names
LIBERTY AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE D SHANKWEILER (PRESIDENT)
(610) 960-1901
Entity
Organization
Contact information
Practice address
355 CIRCLE OF PROGRESS DR, POTTSTOWN, PA 19464-3811
(610) 327-9060
(610) 327-9696
Mailing address
PO BOX 2196, WEST CHESTER, PA 19380-0095
(610) 327-9060
(610) 327-9696
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
06125
PA
Other
Enumeration date
10/20/2006
Last updated
09/27/2011
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