| NPI | 1215619499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAERIO LACIANA JACOBS Owner/Operator 314-718-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |