| NPI | 1265254775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKESHA L. FORD Chief Compliance Officer 762-358-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-12-12 |