| NPI | 1689007932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL F. WALLS President 414-779-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WI w420-1665-8408-04) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |