| NPI | 1861840910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONTIA LATOYIA GRAY Owner/Manager 318-789-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |