| NPI | 1447814546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CUBBERLY Executive Director 269-441-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |