Organization Name: | GLENN DALE FIRE ASSOCIATION, INC. |
NPI Number: | 1003854068 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA AUGUSTA WOODS (PRESIDENT) |
Mailing Address: | 11900 Glenn Dale Blvd Glenn Dale |
State: | MD US |
Postal Code: | 207699000 |
Phone Number: | 3018052400 |
Fax Number: | 3018052438 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |