| NPI | 1447784657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON BRADLEY MASON Medical Transportation Service 618-509-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL M250-5426-8284) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |