| NPI | 1376542415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES O'NEAL Director 270-651-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2018-02-02 |