| NPI | 1104031509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RAE KEMMET Administrative Assistant 701-258-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: ND 343900000X) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |