| NPI | 1124813373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DAVION SEPHUS Managing Member 414-514-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |