| NPI | 1851872543 |
|---|---|
| Other Name | OWNER |
| Entity Type | Organization |
| Authorized Contact | EFFRON DONELL STEWART Owner 225-900-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 006440870) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |