| NPI | 1972040053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY B WIGGINS Partner 931-401-6871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 105739) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |