NPI | 1174813075 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID CARROLL Director 606-286-4443 |
Organization Subpart ? | No |
Primary Taxonomy | 347E00000X Transportation Broker (Licence: KY 347E00000X) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: KY 343900000X) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2011-04-12 |