| NPI | 1154984631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED WHITE Managing Member 773-699-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 172A00000X Driver |
| 251T00000X PACE Provider Organization | |
| 305S00000X Point of Service | |
| 335U00000X Organ Procurement Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |