| NPI | 1710715537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN PONTOW Owner 931-626-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-10-09 |