| NPI | 1053936450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK DWAYNE BLACK Owner/CEO 318-455-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |