Forman Ambulance Service

NPI #1700871910 in Manito, Illinois

Provider Information

NPI Number
1700871910
Entity Type
Organization
Organization Name
Forman Ambulance Service
Primary Specialty
Ambulance - Air Transport
Enumeration Date
Sep 14, 2005
Last Updated
May 11, 2023

Practice Location

Address
205 N BROADWAY
City
Manito
ZIP Code
61546-0648
Phone
(309) 968-6902

Authorized Official

Name
SHERON KAYE BORTELL
Title
AUTHORIZED OFFICIAL
Phone
(309) 968-6902

Specialties & Taxonomy Codes

Specialty
Ambulance - Air TransportAir Transport

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