| NPI | 1194364513 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | SHARON BROWN BENT Owner 904-514-6208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |