| NPI | 1164918728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES J PHIPPS Operations Manager 601-870-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-07 |