| NPI | 1932607520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURBRENA MICHELLE THOMAS Owner 318-512-6103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-06-20 |