| NPI | 1720742539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANIA SAMMAY PARKES- HARGRAVE President 219-299-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |