| NPI | 1932271301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ALLEN SUTHERLAND Owner President 276-889-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: VA 948) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-02-18 |