| NPI | 1528418449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES HATHAWAY Owner 208-704-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |