| NPI | 1194186809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL RICARDO EPPS Manager 267-602-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: PA 343900000x) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |