| NPI | 1265613665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY JACKSON President 414-228-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) (Licence: WI j2501924663605) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |