| NPI | 1720129422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT L ROGER Business Manager 802-285-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: VT 0105) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |