| NPI | 1073497038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO CORRALES Owner 602-556-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |