| NPI | 1124517628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI DENISE WELLS Executive Director 323-338-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-06-16 |