| NPI | 1629805114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE POWELL Chief 304-222-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |