| NPI | 1043612377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOUA LEO VANG Owner 479-357-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 344600000X Taxi |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2016-02-26 |