| NPI | 1114560315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS PETERSON Operations Manager 507-380-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |