| NPI | 1790505477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIEISHA LOCKRIDGE Owner 773-870-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |