| NPI | 1255038618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOSCO NTARAMBIRWA MANYOTA Owner 817-230-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 374U00000X Home Health Aide | |
| 310400000X Assisted Living Facility | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 342000000X | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2025-05-06 |