| NPI | 1366984833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONTRAE JAVON SPRUILL Manager/ Creator 816-489-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 344600000X Taxi | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |