| NPI | 1770050320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSUELA JOHNSON Manager 573-673-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 344600000X Taxi |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |