NPI | 1972630523 |
---|---|
Entity Type | Organization |
Authorized Contact | KENT ALAN TARRO Administrator 217-854-3223 |
Organization Subpart ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 002) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2022-07-21 |