| NPI | 1518000157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J LARSEN Owner General Mgr 928-345-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |