| NPI | 1700607025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE WILKINS Manager/Owner 219-281-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2024-10-19 |
| Last Update Date | 2024-10-19 |