| NPI | 1912550484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAROYCE CLAY Owner 708-793-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 174200000X Meals |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |