| NPI | 1518676725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA CAMPBELL Managing Member 765-409-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 341600000X Ambulance |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |