| NPI | 1205154002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEONN L. RANDALL Operations Mgr. 314-443-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MO LC0888387) |
| Additional Taxonomies | 341600000X Ambulance (Licence: MO LC0888387) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |