| NPI | 1114570645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RETERRICK EMMEL WILLIAMS Owner 318-538-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |