| NPI | 1104633171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOMLAN EFOUABOE AMEKO Owner/ CEO 636-849-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |