| NPI | 1073096137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA COUNCIL Owner 904-355-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 343800000X Secured Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2019-05-22 |