| NPI | 1770306144 |
|---|---|
| Former Legal Business Name | MACKY EXPRESS LLC |
| Entity Type | Organization |
| Authorized Contact | MARK ESIYEDEN Manager 219-707-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |