| NPI | 1104554344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA THORNE Owner 252-301-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347B00000X Bus |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2022-08-14 |