| NPI | 1083065957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DEAN KILDOW Owner 208-789-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: ID 343900000x) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |