| NPI | 1255428140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY L COLYER President 618-922-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 5210) |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-07-29 |