Provider Demographics
NPI:1023494564
Name:ATLANTIC LIFE SAFETY & EMERGENCY SERVICES, INC.
Entity type:Organization
Organization Name:ATLANTIC LIFE SAFETY & EMERGENCY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-242-3581
Mailing Address - Street 1:PO BOX 3584
Mailing Address - Street 2:
Mailing Address - City:BUIES CREEK
Mailing Address - State:NC
Mailing Address - Zip Code:27506-3584
Mailing Address - Country:US
Mailing Address - Phone:910-242-3581
Mailing Address - Fax:
Practice Address - Street 1:245 BRADDOCK DR
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-6309
Practice Address - Country:US
Practice Address - Phone:910-242-3581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable