| NPI | 1356000590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BERRY Manager 346-561-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2023-04-14 |