| NPI | 1609814607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY HICKS C.E.O./Administrator 304-425-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: WV 12810) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2012-10-17 |