| NPI | 1366981110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY ALLEN Manager 424-361-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: CA a3366376) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2018-11-18 |