| NPI | 1114110715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN L O'QUINN Captain 276-698-6242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 341600000X Ambulance (Licence: VA 285) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2021-04-01 |