| NPI | 1427456383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILSE UNDERWOOD Owner 402-306-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2015-02-22 |