Organization Name: | SYLVAN LIEBLA AMERICAN LEGION POST 1363 |
NPI Number: | 1447398201 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES MYERS (SECRETARY, TREASURER, CAPTAIN) |
Mailing Address: | 17 Collins Road Eldred |
State: | NY US |
Postal Code: | 12732 |
Phone Number: | 8455578915 |
Fax Number: | 8455578915 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 5212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |