| NPI | 1164237749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERECK MAURICE VANN CEO 945-945-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |