| NPI | 1184284002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID MOHAMED MOHMAED Owner 330-962-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2021-01-21 |