| NPI | 1124716055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MONET STUBBS Owner 910-574-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-08-06 |