| NPI | 1972954089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAWN PEEBLES Owner 208-530-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: ID 16-00006960) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |