| NPI | 1114471380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNNE HACKWORTH Office Administrator 336-656-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |