| NPI | 1679808661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY CLAY FOSTER Chief Administrator 318-325-9503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 5687452) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |