| NPI | 1356925184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEPORSHIA BLACKMON Administrator 407-986-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |