| NPI | 1205386695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TANUVASA Driver 801-800-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: UT 193444049) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |