| NPI | 1114547858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIANA CRESPILLO CARBALLO President 239-628-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |