| NPI | 1093152472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN GRAVES-OSBORN Owner 866-850-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: IN 2150024021) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 2150024021) |
| Enumeration Date | 2013-05-26 |
| Last Update Date | 2013-07-09 |