| NPI | 1063748481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE L MOORE Owner 318-518-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 343900000x) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |