| NPI | 1790259919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKELL THOMPSON FORTIA Owner/Manager 504-210-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |