| NPI | 1740587393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT LAMAR CROCKETT CEO 734-757-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |