| NPI | 1902337348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC DAWSON Owner 217-685-9645 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 344600000X Taxi |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |