| NPI | 1891355509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LATRICE FIELDER Owner/Manager 601-745-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |