| NPI | 1649752460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY VIVERETTE Member 601-613-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance |
| Additional Taxonomies | 347E00000X Transportation Broker |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |