NPI | 1255853016 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE CARPENTER Captain 276-655-4240 |
Organization Subpart ? | No |
Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
Additional Taxonomies | 341600000X Ambulance (Licence: VA 684) |
Enumeration Date | 2017-07-13 |
Last Update Date | 2021-04-16 |