| NPI | 1942581871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK LATRONN DAVIS Co Owner 502-493-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |