| NPI | 1720387723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HUMPHREY President 419-482-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: NC YWT2936) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |