| Organization Name: | LAUREL LAKE VOLUNTEER FIRE AND RESCUE CO., INC. |
| NPI Number: | 1093127052 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES J. D'AMBROSIO (CAPTAIN) |
| Mailing Address: | 5436 Battle Ln Millville |
| State: | NJ US |
| Postal Code: | 083326159 |
| Phone Number: | 6094638075 |
| Fax Number: | 8567653450 |
| NPI Enumeration Date: | 05/27/2014 |
| NPI Last Update Date: | 07/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | NOT YET ISSUED |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |