| NPI | 1053103358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARUNDOLYN B SHAW Owner 469-404-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-06-02 |