| NPI | 1275890295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID DOTY Operation Manager 217-330-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2016-11-15 |