| NPI | 1295220960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL LYNN SHUMPERT Owner 662-231-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |