| NPI | 1912218488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY BORGMAN Compliance Director 208-245-4576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |