| NPI | 1811666266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT BORNBACH Managing Member 715-401-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |