NPI | 1962536227 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HAJDUCH President 708-408-9204 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 6140MC) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 5601MC) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2008-04-20 |