| NPI | 1821444845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNOSCAR LACY Owner 870-780-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |