| NPI | 1487469896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALANDRA C KIMBROUGH Adminstrator 870-394-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |