| NPI | 1174040257 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CARLA EDMONDS Assist. Supervisor Transportation 330-610-3092 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) | 
| Enumeration Date | 2017-08-29 | 
| Last Update Date | 2022-07-21 |