| NPI | 1407363682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LAMAR MOORE Operations Manager 515-792-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |