| NPI | 1700243433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VICE Owner 225-326-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 42141922K) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |