| NPI | 1063990620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MOHAMED Director 877-502-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2018-08-04 |