| NPI | 1679715833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN FREDERICK GOODWIN Owner 708-774-5645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |