| NPI | 1487164562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORIN A KELLY Proprietor 414-759-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WI k4006417318200) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |