Provider Demographics
NPI:1982722278
Name:THE KENTLAND VOLUNTEER FIRE DEPARTMENT OF KENTLAND MD INCORPORATED
Entity Type:Organization
Organization Name:THE KENTLAND VOLUNTEER FIRE DEPARTMENT OF KENTLAND MD INCORPORATED
Other - Org Name:KENTLAND VOLUNTEER FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ADAIR
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-417-8832
Mailing Address - Street 1:7701 LANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2136
Mailing Address - Country:US
Mailing Address - Phone:301-773-6033
Mailing Address - Fax:301-773-2410
Practice Address - Street 1:7701 LANDOVER RD
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2136
Practice Address - Country:US
Practice Address - Phone:301-773-6033
Practice Address - Fax:301-773-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport