| NPI | 1114703675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MESERET TIBEBU Pharmacist 207-347-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |