| NPI | 1003732017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TELRAH TANKSLEY Account Specialist 947-281-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2026-06-24 |
| Last Update Date | 2026-06-24 |