| NPI | 1063843597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ALAN CORMIER Director 770-709-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: GA 075-13) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |