| NPI | 1356748727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYCLIFF CHAKUA Member 763-220-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347E00000X Transportation Broker |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2015-04-27 |