| NPI | 1053051193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH ALPHONSO LITCHMORE Owner 262-505-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |