| NPI | 1720381957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY C MCCABE Manager 479-353-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: OK EMS454) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-16 |