| NPI | 1134131949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEONARD ROESNER Owner Director 309-286-7154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: IL 2574) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: IL 2574) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-08-21 |