| NPI | 1649352402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE MELVIN HAUKOOS Admin. Dir. 712-362-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: IA PS-18-018-07) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-08-03 |