| NPI | 1144912072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKETIS MARCELLUS GREEN Manager 414-544-3915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |