| NPI | 1386877652 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MARTHA A BLACKMON President 267-784-4627 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 38049629) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |