| NPI | 1366083628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMITAYO OBADINA Owner 386-299-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-12-12 |