| NPI | 1386005882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E KALLEVIG Owner 321-514-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL 11017) |
| Additional Taxonomies | 341600000X Ambulance (Licence: FL 11017) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |