NPI | 1063102622 |
---|---|
Entity Type | Organization |
Authorized Contact | KORNELL LLOYD Chief Executive Officer 815-295-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Enumeration Date | 2023-05-08 |
Last Update Date | 2023-12-12 |