| NPI | 1790586568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENTELL EUGENE CHARLES JACKSON CEO 219-902-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |