| NPI | 1053716209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY WAYNE LEDFORD Owner 863-537-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL 177274) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |