| NPI | 1407632672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS WILLIS Director 346-236-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |