| NPI | 1326541566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL RAYMOND LILLY Manager 779-225-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |