| NPI | 1003666173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTHOLOMEW MWEBAZA Manager 508-561-6459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 342000000X |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |