| NPI | 1821575614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE GILSON MINNIEFIELD Owner 662-207-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |