Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Air Transport |
3416A0800X | 59 | Ambulance Service Provider | |
Ambulance |
341600000X | 59 | Ambulance Service Provider |
| NPI # | 1013722339 |
| LBN Legal business name | XWA 2024 LLC |
| Authorized official | JACOB KELLER - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/12/2025 |
| Last updated | 02/12/2025 - More than a year ago |
| Identifiers | n/a |
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