NPI | 1295384634 |
---|---|
Entity Type | Organization |
Authorized Contact | INGRID QUEEN-JOLLY Owner 772-301-9935 |
Organization Subpart ? | No |
Primary Taxonomy | 347C00000X Private Vehicle |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
Enumeration Date | 2019-09-09 |
Last Update Date | 2019-09-13 |