| NPI | 1033898580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON JOHNSON Owner / Operator 208-946-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |