| NPI | 1053671073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN JEFFERSON Owner 318-220-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 006968664) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |