NPI | 1275757981 |
---|---|
Entity Type | Organization |
Authorized Contact | OSCAR BIG O HALL Owner President 269-344-8699 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI MDOT L1581) |
Additional Taxonomies | 347C00000X Private Vehicle (Licence: MI MDOT L1581) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |