| NPI | 1104446947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ELSEA Owner 260-445-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |