| NPI | 1215113956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARK DAVIS Director 662-469-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport |
| Additional Taxonomies | 341600000X Ambulance (Licence: MS 317) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2024-09-26 |