| NPI | 1619230430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENELL FLEMING WHITE Owner 219-427-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 12-326N) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |