| NPI | 1649632191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS FRYE Chief Executive Officer 219-588-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |