| NPI | 1740414986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP WAYNE POE Owner 618-833-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 10347PT) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: IL 10393PT) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 10348PT) | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |