| NPI | 1952162273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY G JACKSON Emergency Services Consultant 276-620-8916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |