| NPI | 1356724017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WALLACE Business Manager 360-864-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: WA 21D02) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |