| NPI | 1275240459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHADE R GREENE Owner/Operator 225-229-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 342000000X |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-10-28 |