| NPI | 1205559978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON LAWRENCE Owner/Operator 317-690-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |