| NPI | 1134619133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI CRAFT RODGERS Owner 704-906-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |