| NPI | 1508069923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADIE J WALLACE Secretary 608-606-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 341600000X Ambulance (Licence: WI 60-01171) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-06-30 |