| NPI | 1053186288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD D MILLER Executive Director 708-545-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |