| NPI | 1154986586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA M SEALS-JONES C.E.O. 662-671-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2023-06-21 |