| NPI Details | |
|---|---|
| NPI | 1689671257 |
| Enumeration Date | 06/28/2005 |
| Last Updated | 05/19/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 12 years ago |
| Authorized Information | |
|---|---|
| Name | JACKIE JACKIE |
| Position | OFFICE MANAGER |
| Phone | (610) 681-5810 |
| Fax | (610) 681-5643 |
| Practice Location | |
|---|---|
| 296 OLD ROUTE 115 SAYLORSBURG PA, 18353, US |
|
| Phone | (610) 681-5810 |
| Fax | (610) 681-5643 |
| Business Location | |
|---|---|
| PO BOX 296 SAYLORSBURG PA, 18353-0296, US |
|
| Phone | (610) 681-5810 |
| Fax | (610) 681-5643 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 3416L0300X |
| License State | Pennsylvania |
| License Number | 04194 |
| Remove 1689671257 NPI Number | |
According to our database, West End Advanced Life Support, Inc NPI is 1689671257, taxonomy code is 3416L0300X and license number is 04194, license state is located at Pennsylvania. West End Advanced Life Support, Inc physically located at 296 Old Route 115, Saylorsburg PA, 18353. NPI Number 1033115704 has the healthcare provider type.
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1689671257 NPI number is provided on an as is basis without warranty of any kind. 1689671257 is maintained by the National Plan & Provider Enumeration System. The contents of West End Advanced Life Support, Inc are for informational purposes only.
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