| NPI | 1912873092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SHERI JOHNSON Administrator 414-841-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |