| NPI | 1326595869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY LYNN SHAFER Owner/Operator 208-755-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: ID PW213673B) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |