Provider Demographics
NPI:1437306271
Name:LAUREL VOLUNTEER RESCUE SQUAD
Entity Type:Organization
Organization Name:LAUREL VOLUNTEER RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-604-5055
Mailing Address - Street 1:PO BOX 1278
Mailing Address - Street 2:14910 BOWIE RD
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-1278
Mailing Address - Country:US
Mailing Address - Phone:301-604-5055
Mailing Address - Fax:301-725-0654
Practice Address - Street 1:14910 BOWIE RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4649
Practice Address - Country:US
Practice Address - Phone:301-604-5055
Practice Address - Fax:301-725-0654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance