| NPI | 1336172790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY J FACKOVEC President 781-569-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: MA 3994) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2009-02-24 |