| NPI | 1386100162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MAXEAU LAFALAISE Director 239-895-3514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2019-02-16 |