| NPI | 1083892947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRA DAWNIELLE HURT Owner 219-575-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 64123) |
| Enumeration Date | 2008-02-03 |
| Last Update Date | 2008-02-03 |