| NPI | 1669123915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JACKSON Managing Member 414-336-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |