| NPI | 1114366184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALOUM SACKO Owner/Operator 267-258-4779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2016-01-07 |