| NPI | 1366041394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE FREDERICK Office Manager 833-487-6873 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |