NPI | 1922321801 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMESHIA S HASTEN Owner 225-205-9637 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 006354142) |
Additional Taxonomies | 347C00000X Private Vehicle (Licence: LA 006354142) |
Enumeration Date | 2010-03-08 |
Last Update Date | 2010-04-26 |