| NPI | 1124876214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS JOHNNY MOORE Manager 716-994-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-17 |