| NPI | 1619234978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANASA LONNIE DAVENPORT Owner 773-501-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL D15187271918) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |