| NPI | 1548596067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CHRISTIAN WIMBERLY Owner/President 267-290-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: PA 25589944) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |