| NPI | 1083193007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE SHERRI TIDWELL CEO/Employee 716-322-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |