| NPI | 1679806764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERALD DEMOND DATCHER Owner/Operator 682-551-7179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 21038722) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |