| NPI | 1053190165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY LOGSAN SAILOR Director 304-652-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |