| NPI | 1285317826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY NICHOLE TYLER Owner/Operator 870-740-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |