| NPI | 1629670062 |
|---|---|
| Other Name | FIRST LIGHT MEDICAL TRANSPORT, LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN P BERELLA President 304-300-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |