| NPI | 1578009155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN KELLY Owner/CFO 601-572-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: MS 382LEAKE) |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2018-03-17 |