| NPI | 1174500326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD COSTLOW President 814-535-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: PA 05206) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: PA 05206) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: PA A00114036) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: PA 05206) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-12-17 |