| NPI | 1043767601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BROUSSARD CFO 228-325-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 347C00000X Private Vehicle | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-12-27 |