| NPI | 1093091852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFREDO RECA Supervisor 617-202-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: MA s56764111) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |