| NPI | 1235738394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT L GRAVES Owner/Manager 131-398-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |