| NPI | 1144005455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LATRICE TURNER Administrator 318-437-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |