| NPI | 1144036690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK EARL MOORE Owner 662-458-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 171W00000X Contractor |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 342000000X Transportation Network Company | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |