| NPI | 1174831754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HEINEMANN Bookkeeper 618-443-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |