| NPI | 1326253980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE FRED JOHNSON Sole Propietor 330-865-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH 775095) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-07-15 |