| NPI | 1205668001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYCHELLE HILL Program Administrator 210-409-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-09-11 |