| NPI | 1932760329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEIQUELA LATICE FOX Single Member/Driver 314-532-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |