Organization Name: | GROVER RESCUE SQUAD INC |
NPI Number: | 1275576340 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDY L FORD (CHIEF) |
Mailing Address: | 107 Main St Grover |
State: | NC US |
Postal Code: | 28073 |
Phone Number: | 7049377632 |
Fax Number: | 7049379889 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |