| NPI | 1699541433 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | TIFFANY JONES Owner 318-503-4723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-11 |