| NPI | 1235732389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M THELEN Executive Director 954-563-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |