NPI | 1902301013 |
---|---|
Doing Business As | EAGLE AMBULANCE SERVICE |
Entity Type | Organization |
Authorized Contact | THOMAS JACOB DAUFENBACH Administrator 815-534-0365 |
Organization Subpart ? | No |
Primary Taxonomy | 3416L0300X Ambulance Land Transport |
Enumeration Date | 2018-03-29 |
Last Update Date | 2023-04-07 |