| NPI | 1740343623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MANSON Billing Agent 906-786-2051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: MI 211001) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-06-22 |