| NPI | 1043480395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY KIM CHOI Program Director 318-688-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |