| NPI | 1881387058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANICE S WILSON-JACKSON Owner 815-207-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |