| NPI | 1710495650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SHUFFETT Administrator 270-250-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |