| NPI | 1134676208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DANIELS Owner 601-736-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MS 2016064434) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |