NPI Provider: 1689671257
Contact Name: Wenzel Jackie
Position: Office Manager
Phone: (610) 681-5810
West End Advanced Life Support Information:
West End Advanced Life Support organization have npi 1689671257, taxonomy code is 3416L0300X with license number is 4194 in . This Business address located in PO Box 296, Saylorsburg, PA 18353 Pennsylvania.
Practice Location
Address: 296 Old Route 115, Saylorsburg, PA 18353
Phone: (610) 681-5810
Business Location
Address: PO Box 296, Saylorsburg, PA 18353
Phone: (610) 681-5810
Fax: (610) 681-5643
Taxonomy
Taxonomy Code: 3416L0300X
License Number: 4194
License Number of State: PA
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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