| NPI | 1376291419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAQUELYN HERNANDEZ Managing Director 385-240-9372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |