| NPI | 1053899112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY D LEWIS Manager 270-543-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 344600000X Taxi |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-02 |