| NPI | 1609131721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KUZNETSOV Owner/President 267-342-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: PA 12035) |
| Additional Taxonomies | 341600000X Ambulance (Licence: PA 12035) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |