| NPI | 1871045237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY VASHAUN SIMMONS Owner 317-250-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 0290023440) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |