| Organization Name: | KING & QUEEN RESCUE SQUAD INC |
| NPI Number: | 1023396942 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY L. WHITLOCK (CAPTAIN) |
| Mailing Address: | 155 Indian Neck Road Newtown |
| State: | VA US |
| Postal Code: | 23126 |
| Phone Number: | 8047692893 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2011 |
| NPI Last Update Date: | 07/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 294 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |