| NPI | 1902242621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY S. FRIESEN Executive Director 574-295-1820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |