| NPI | 1356964241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T W Owner 980-254-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-09-30 |