| NPI | 1770097941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA WELLS Owner/Admins. 318-423-4561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |