| NPI | 1760250732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURY KRISTINA JO THARPE Owner 317-610-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |