| NPI | 1003813254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA MICHELLE LEWIS Owner / Operater 225-603-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 10-00542-614) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-22 |