| NPI | 1336890334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN MOORE Owner 833-880-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |