| NPI | 1073655684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA J HOLDER Owner 931-589-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 320928) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |