| NPI | 1114331642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A SMITH CEO 502-719-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: KY 059MBB) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: KY 058MBB) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |