| NPI | 1194376277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA JEANNINE LYLES- LEE Woner 614-515-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |