Organization
SUGAR GROVE LIFESAVING CREW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M LINEBERRY (CAPTAIN)
(276) 233-2682
Entity
Organization
Contact information
Practice address
178 FLAT RIDGE RD, SUGAR GROVE, VA 24375
(276) 677-3494
Mailing address
PO BOX 3348, SPARTANBURG, SC 29304-3348
(866) 764-4911
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/27/2022
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