| NPI | 1417763251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL TIPTON BURNETT Owner/Manager 479-319-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |