| NPI | 1356762975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTIN MACFONGIM Alte RN Ate Administrator 817-462-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2015-04-21 |