| NPI | 1518699461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YERUSALEM LANIER Owner 765-274-3845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |