| NPI | 1063113967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANITA MADISON Managing Member 414-704-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-21 |