| NPI | 1114330412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BRADFORD Owner 228-284-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MS 1042141) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-07-29 |