| NPI | 1093109902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN WELLS Owner 708-849-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 7391MC) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: IL 7391MC) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2015-03-28 |