| NPI | 1508477233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHEIKA MONIQUE GILLIAM Owner 318-210-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2023-03-02 |