| NPI | 1306967674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDA EDWARDS Trreasure 217-346-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 66503) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |