| NPI | 1225796303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE RENEE LIGHT Director/Emt 618-949-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2022-01-12 |