| NPI | 1306496807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HUDSON Director 321-430-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |