| NPI | 1164933974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL CHRISTIAN BETZ President 863-646-4908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |