| NPI | 1275216475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATARA WILSON Owner 414-517-7729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-10-11 |