| Organization Name: | KATHLEEN M MINNICH |
| NPI Number: | 1861497893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN M. MINNICH (OWNER) |
| Mailing Address: | 777 Hollywood Blvd Grantville |
| State: | PA US |
| Postal Code: | 170289237 |
| Phone Number: | 7172701070 |
| Fax Number: | 7172738373 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |