| NPI | 1366227613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN CUSTODIO CEO 408-678-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347E00000X Transportation Broker |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |