| NPI | 1053821538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DETRIA ANN BAXTER-YAQOUB Owner 623-419-9323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |