| NPI | 1215696026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LYLE FEEBACK Owner/Operator 620-212-1624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |