| NPI | 1265199988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACRESHA JUANTAE TALLY Chief Executive Officer 252-767-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |