| NPI | 1497981963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LYNN DORTCH Proprietor 773-934-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 5360-05-1298) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |