| NPI | 1134769474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO DE LOS SANTOS Owner/Manager 239-360-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |