| NPI | 1003181660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA D MULLIS Owner 239-314-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL 1200995) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |