| NPI | 1679035273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON STOCKSTILL Managing Partner 601-347-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |