| NPI | 1508615139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD DERIC THOMAS Vice President 317-203-9742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |