| NPI | 1457820730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR MICHAEL SCHALTENBRAND Owner 618-482-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |