| NPI | 1023851730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MICHELLE WILBURN Secretary 980-273-2719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |