| NPI | 1063076693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE ELAINE WRAY Administrative Assistant 336-707-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |