First Medivan Llc

NPI 1720368848 - Private Vehicle - 347C00000X

NPI Details
NPI 1720368848
Enumeration Date 08/20/2011
Last Updated 08/20/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MARK L MARK
Position OWNER
Phone (765) 623-4887
Fax
Practice Location
8800 S STATE ROAD 109
MARKLEVILLE IN, 46056-9783, US
Phone (765) 623-4887
Fax
Business Location
8800 S STATE ROAD 109
MARKLEVILLE IN, 46056-9783, US
Phone (765) 623-4887
Fax
Toxanomy
Taxonomy Code 347C00000X
License State Indiana
License Number 0030-11-8625
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According to our database, First Medivan Llc NPI is 1720368848, taxonomy code is 347C00000X and license number is 0030-11-8625, license state is located at Indiana. First Medivan Llc physically located at 8800 S State Road 109, Markleville IN, 46056-9783. NPI Number 1033115704 has the healthcare provider type.

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1720368848 NPI number is provided on an as is basis without warranty of any kind. 1720368848 is maintained by the National Plan & Provider Enumeration System. The contents of First Medivan Llc are for informational purposes only.