| NPI | 1154807246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA M MITCHELL Director 980-318-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 32079648) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |