| NPI | 1376606053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN WATKINS President 870-483-6441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: AR 0635) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: AR 0636) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-04-29 |