NPI | 1629376504 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMEKA LA 'COLE WRIGHT Owner 574-300-2820 |
Organization Subpart ? | No |
Primary Taxonomy | 347C00000X Private Vehicle (Licence: IN 1350228558) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2011-03-02 |