| NPI | 1053361295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NEWTON Owner 870-234-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: AR 590) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: AR 576) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-06-25 |