| NPI | 1396875688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T. MACK Owner 317-403-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 63865) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |