| NPI | 1619013653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH DORN Chief Administrative Officer 833-703-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: MA 3036) |
| Additional Taxonomies | 341600000X Ambulance |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: MA 3036) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2024-06-25 |