| NPI | 1023855301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY WILLIAMS Executive Director 863-344-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-10-11 |