| NPI | 1972834059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN J SLADE Owner 336-514-7368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 9893054) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |