| Organization Name: | EAST LYME AMBULANCE FUND INC |
| NPI Number: | 1851391601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES HOLYFIELD (PRESIDENT) |
| Mailing Address: | 8 Grand St Niantic |
| State: | CT US |
| Postal Code: | 063573204 |
| Phone Number: | 8607393449 |
| Fax Number: | 8607395268 |
| NPI Enumeration Date: | 07/22/2005 |
| NPI Last Update Date: | 09/17/2010 |
| 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: | |