| NPI | 1285138578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIA RUSSELL CLAY Owner/Driver 225-650-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |