| NPI | 1235653387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARUS LESLIE MUKUR President/CEO 251-508-1438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2018-03-17 |