| NPI | 1285613687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B MAYES Credentialing Coordinator 302-283-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: DE 1FDLE40F9VHA03462) |
| Additional Taxonomies | 341600000X Ambulance (Licence: DE 1FDXE45FLVHA92250) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2012-12-28 |