| NPI | 1487822532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN A LIGHTFOOT Contract Bookkeeping 208-645-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: ID 5509) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2012-10-01 |