| NPI | 1023558392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINE DAVIS Executive Director 267-407-5914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |