| NPI | 1407983547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK HART Director 304-823-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: WV WVEMS) |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-07-21 |