| NPI | 1497420053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERKEISHA SHAUNTA FIELDS Owner 318-519-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2021-08-14 |