| NPI | 1336499029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA EACKLES JACKSON Member/Manager 225-650-3024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |