| NPI | 1013918408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE RANDOLPH DAGGETT Administrator 860-774-7625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: CT C069B1) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-05-23 |