| NPI | 1790045136 |
|---|---|
| Former Legal Business Name | GOOD SHEPHERD TRANSPORT LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN WALLACE CEO 513-544-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: OH 31-583-5) |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2012-05-19 |