| NPI | 1942257076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHARLES RUSSELL Director 906-341-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: MI 771001) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-03-08 |