| NPI | 1760156004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GLASS Captain 276-762-5844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |