| NPI | 1306525415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNETTA THOMAS Owner 702-587-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |