| NPI | 1033786009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERVAIN PAUL Director 267-376-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |