| NPI | 1568646016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER JACKSON President 414-349-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) (Licence: WI J2507806521506) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |