| NPI | 1124411277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CLINTON Business Manager 219-369-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |