Provider Demographics
NPI:1114792074
Name:LEYDEN FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:LEYDEN FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:FARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-455-0180
Mailing Address - Street 1:2600 MANNHEIM RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60131-3137
Mailing Address - Country:US
Mailing Address - Phone:847-455-0180
Mailing Address - Fax:
Practice Address - Street 1:2600 MANNHEIM RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:IL
Practice Address - Zip Code:60131-3137
Practice Address - Country:US
Practice Address - Phone:847-455-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty