| NPI | 1568206084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CORNELIUS THOMPSON Owner/Operator 574-208-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |