| NPI | 1083206478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALISHA FORTNER Authorized Official 318-403-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2024-06-25 |