| NPI | 1750064358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUWAM G FESSHATSION Owner 605-230-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-23 |