NPI | 1902136898 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD LEE JOHNSON Owner 318-342-9508 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 12466) |
Enumeration Date | 2009-12-28 |
Last Update Date | 2009-12-28 |