| NPI | 1205056793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE RENEE DAVIS Manager 520-881-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ 0023935) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |