| NPI | 1376008516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY THOMPSON Executive Director 318-435-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |