| NPI | 1841823168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SHAUGHNESSY Secretary 765-820-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 341600000X Ambulance |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2021-03-24 |