| NPI | 1326549593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE JACKSON Owner 832-882-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2024-08-21 |