| NPI | 1033803820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERIMIN MARLON GOULBOURNE Owner 914-203-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |