Provider Demographics
NPI:1760156004
Name:DANTE RESCUE SQUAD, INC.
Entity Type:Organization
Organization Name:DANTE RESCUE SQUAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-762-5844
Mailing Address - Street 1:81 CLINIC ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:VA
Mailing Address - Zip Code:24283-3656
Mailing Address - Country:US
Mailing Address - Phone:127-676-2770
Mailing Address - Fax:
Practice Address - Street 1:112 LOWER BEAR WALLOW ROAD
Practice Address - Street 2:
Practice Address - City:DANTE
Practice Address - State:VA
Practice Address - Zip Code:24237
Practice Address - Country:US
Practice Address - Phone:276-762-5844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No251V00000XAgenciesVoluntary or Charitable