| NPI | 1679144992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DAVENPORT-CLARK Owner/Manager 318-581-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2025-08-09 |