| NPI | 1306149232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY C MCCABE Manager 479-353-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: AR 797) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: AR 796) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2011-05-09 |