| NPI | 1245750686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREAVERN HUMPHREY CEO 862-264-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 341600000X Ambulance |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |