NPI | 1619139409 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYCLAIR GUSTAFSON Trustee 309-936-7220 |
Organization Subpart ? | No |
Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 02-2517) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2013-06-11 |