| NPI | 1497098834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MICHAEL TUCKER Vice President 304-830-0895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: WV WVOEMS) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2015-07-02 |