NPI | 1437141413 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID BALISTER Owner/Operator 262-689-0184 |
Organization Subpart ? | No |
Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate |
Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
Enumeration Date | 2005-08-16 |
Last Update Date | 2011-09-14 |