| NPI | 1316263999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARSON L MCCLOUD President 270-384-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: KY 3569) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: KY 3569) |
| 347C00000X Private Vehicle (Licence: KY 3569) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-05-10 |