| NPI | 1104178755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALGASSIMU MONOMA BAH President 267-970-6582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |