| NPI | 1285342253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILEY DONITA DAUGHTRY Self 910-967-0374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-17 |