| NPI | 1164047650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH HENDERSON CFO 386-292-9265 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |