| NPI | 1184495004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAIN WATERS Owerner 910-545-4734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |