| NPI | 1073254827 |
|---|---|
| Doing Business As | DESTINY TO WELLNESS TRANSPORTATION BR |
| Entity Type | Organization |
| Authorized Contact | QUINCY THOMAS Owner 318-518-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |