| NPI | 1003596503 | 
|---|---|
| Former Legal Business Name | TAMMIE FOWLER | 
| Entity Type | Organization | 
| Authorized Contact | TAMMIE M FOWLER CEO/Owner 414-204-3919 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) | 
| Enumeration Date | 2023-07-19 | 
| Last Update Date | 2023-07-19 |