| NPI | 1629033667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HAROSKY Director 276-669-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 341600000X Ambulance (Licence: VA 00699) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-06-16 |