| NPI | 1174896153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSMAN A LOMIDZE President 267-290-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: PA 137867) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |