| NPI | 1811913312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER O MASTLIR Treasurer 262-763-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: WI 1213-800) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |