| NPI | 1902952161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE MARIE GROTHAUS Secretary Treasurer 618-836-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 1769982) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2020-08-22 |