| NPI | 1730484304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE JACKSON Owner 208-290-6726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: ID D144385) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |