| NPI | 1043459639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARD GHUKASYAN Executor, Administrator 602-680-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |