NPI | 1164286969 |
---|---|
Entity Type | Organization |
Authorized Contact | SAYDEKON ALPHEAUS CHARLES REEVES Servant Leader/Owner 240-860-3620 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor |
Additional Taxonomies | 251B00000X Case Management |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-16 |