| NPI | 1689674962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHRISTINE LAKE Billing Manager 810-686-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: MI 251001) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2009-03-02 |