| NPI | 1861767436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE KUPRIYANOV Manager 855-692-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: NJ 0400-4464-64) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2015-03-26 |