| NPI | 1134903800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTAEVIES ROGERS Administrator 863-712-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 342000000X |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2024-01-03 |