| NPI | 1053901538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TAMARA GORDON CEO 786-797-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 174200000X Meals |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |