| NPI | 1497122154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHENA COTINA GIPSON Owner 318-617-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 005596761) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |