| NPI | 1124919337 |
|---|---|
| Former Legal Business Name | MOONLIGHT TRANSPORTATION INC |
| Entity Type | Organization |
| Authorized Contact | STANLEY KELLERMANN CALIXTE CEO 757-394-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-11-10 |