| NPI | 1700662665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUISHA ANN JACKSON Owner 414-322-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-15 |