| NPI | 1255177002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE GRAUVOGL Admin 920-642-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347E00000X Transportation Broker |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |