| NPI | 1861751604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP MARC- ANTHONY BLEVINS Owner 219-577-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 0630-21-7075) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |