| NPI | 1922588755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN MOORE President 708-704-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 201702101180216) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-04-11 |