Legacy Ambulance LLC

NPI #1437449220 in Raven, Virginia

Provider Information

NPI Number
1437449220
Entity Type
Organization
Organization Name
Legacy Ambulance LLC
Primary Specialty
Ambulance
Enumeration Date
Apr 13, 2011
Last Updated
Aug 24, 2011

Practice Location

Address
5453 GOVERNOR G C PEERY HWY
City
Raven
ZIP Code
24639-9533
Phone
(276) 963-5323

Authorized Official

Name
JERRY L DUNFORD, EMT-INTERMEDIATE
Title
OWNER
Phone
(276) 971-4407

Specialties & Taxonomy Codes

Specialty
Ambulance

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