| NPI | 1386642312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA L OSBORN Administrator 573-735-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: MO 137014) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |