| NPI | 1982236675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARELL LAMONT WILLIS Owner/Partner 314-575-8724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |