| NPI | 1164536058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA M JEDLICKI President 907-562-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: AK 62242) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-11-07 |