| NPI | 1114304961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JEAN MCCLOUD Non Emergency Medical Transport 386-697-6398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |