| NPI | 1225507403 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHERONDA L KIMBROUGH President 312-509-1914  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) | 
| Enumeration Date | 2018-11-18 | 
| Last Update Date | 2018-11-18 |