| NPI | 1194142356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI LYNETTE HAYES-MCGOWAN President 414-628-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WI h2528127056407) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |