| NPI | 1073305603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE MCCANN Member 314-749-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 342000000X |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |