| NPI | 1215430210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEQUESOR LYNETTE DAVIS Chief Exective Director/ Manager 225-270-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: CO 062770743) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2019-03-19 |