| NPI | 1841667235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SHANNON MARS Owner/Manager 225-803-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |