| NPI | 1467119719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ALLEN WAYCASTER President 304-253-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |