| NPI | 1588659981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY K GARY Office Manager/Vice President 570-897-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2022-07-21 |