| NPI | 1194813733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE SNOFSKY DE GOROSTIETA Billing Supervisor 907-343-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |