| NPI | 1255041687 |
|---|---|
| Other Name | KING OF SPADES NEMT |
| Entity Type | Organization |
| Authorized Contact | YOLANDA ANTIONETTE MCCULLOUGH Owner 623-203-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |