| NPI | 1750688545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PENNINGTON Asst Director 660-665-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |