| NPI | 1194004564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT EDWARD WILSON Owner/Administrator 916-416-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-17 |