| NPI | 1922185248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE BROWN Director Of Billing 888-665-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: MA 3466) |
| Additional Taxonomies | 3416L0300X Ambulance Land Transport (Licence: RI 91) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-02-05 |