| NPI | 1174494264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHON SYLVESTER0 ROGER Owner/President 347-342-7304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-09-13 |
| Last Update Date | 2025-09-13 |