| NPI | 1124404009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA STREATY Owner 317-847-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 429039) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2017-02-28 |