| NPI | 1780824664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA B. TUCKER Captain 276-957-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: VA 647) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2009-03-04 |