| NPI | 1124735840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR JERICO GABRIEL President 928-279-9387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |