| NPI | 1972811743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD F SHOLDERS Owner 815-252-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 344600000X Taxi |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |