| NPI | 1467106732 |
|---|---|
| Former Legal Business Name | E1111 |
| Entity Type | Organization |
| Authorized Contact | KATAMRIA NICOLE BILLUPS Employee 318-537-0654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |