| NPI | 1104620079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYKAELAH WATERS Managing Member 469-418-4857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-17 |