| NPI | 1538879853 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | DANIELLE DAVIS Administrator 318-341-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2025-07-28 |