| NPI | 1295333052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNIE WOODS Credentialing Specialist 844-548-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |