| NPI | 1053957431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W GALLEGOS Owner 225-413-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |