| NPI | 1336641851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKITA DISMUKE Owner 318-703-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347E00000X Transportation Broker |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2024-08-07 |