| NPI | 1578555801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY SIMMONS EMS Billing Supervisor 386-752-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: FL 2465) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |