| NPI | 1336646462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELL MARIA COOPER Director 833-853-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2020-10-14 |