| NPI | 1356022107 |
|---|---|
| Other Name | MODELED LIGHT TRANSPORT, LLC |
| Entity Type | Organization |
| Authorized Contact | QUINYANA MOSLEY Owner/Operator 856-213-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-26 |