| NPI | 1922258250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN KYLE ARSENEAULT Authorized Agent 276-638-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: VA 1283) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA 499) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-07-21 |