| NPI | 1922193218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD LEROY WENTWORTH Owner 601-384-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: MS 036-Basic Life) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-06-18 |