| NPI | 1396810180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY J. KEENER Director 309-368-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: IL 2549) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-12-07 |