Healthcare Provider Details

I. General information

NPI: 1407021553
Provider Name (Legal Business Name): LAONA RESCUE UNIT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5277 LINDEN ST
LAONA WI
54541
US

IV. Provider business mailing address

PO BOX 641880
OMAHA NE
68164-7880
US

V. Phone/Fax

Practice location:
  • Phone: 715-674-4131
  • Fax:
Mailing address:
  • Phone: 402-572-4019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ANTOINETTEE M KRAWZE
Title or Position: PRESIDENT
Credential: PRESIDENT
Phone: 715-889-2233