| NPI | 1356112114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHNSON Manager 279-245-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2025-01-06 |