| NPI | 1366162398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R TILLMAN Owner 910-273-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-09-05 |