| NPI | 1104130780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJA ENJOLI MOORE Owner 636-757-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MO PO52355003) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2013-02-20 |