| NPI | 1578121083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MELLOWAY Assistant Finance Director 573-554-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |