| NPI | 1063419620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY ANTONACCI Chief Administrator 636-295-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: MO 113000) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-01-07 |