| NPI | 1477950426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNERICO WALKER Owner 1773-331-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL w42616074168) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |