| NPI | 1023579695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUESHA VL PORTER Owner/Operator 316-518-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |