| NPI | 1740296219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA D BANKS Director 618-683-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 501701) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-07-18 |