| NPI | 1366322083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK DAMIEN FUTCH Owner/Operator 912-412-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |