| NPI | 1083899363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A MICHAUD Director 757-273-7360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: VA 1282) |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2012-11-05 |