| NPI | 1104276377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN M KUDLACZ Owner 208-577-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: ID BB237706C) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |