| NPI | 1174719645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNISSA EVEQUE PAYNE Office Manager 318-680-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 1930806) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |