| NPI | 1922780139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA ANN RIDDICK Vice President 708-365-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |