| NPI | 1831500065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS STOKES Owner 262-397-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: WI p060183) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |