| NPI | 1427393537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHAMED MOHAMED ABEDALKANEE Owner 618-319-2495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 2012159805) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |