| NPI | 1124574561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHUNDORA MCKINNEY Owner 262-894-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2022-07-21 |