| NPI | 1295126837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT BOLIARD Manager 217-330-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 344600000X Taxi |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |