| NPI | 1851865190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKEY S BRADFORD Owner/Manager 316-347-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |