| NPI | 1033729173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS WILLIAMS Owner 812-518-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |