| NPI | 1700097730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK TANNER Executive Director 304-255-1397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |