| NPI | 1417320474 |
|---|---|
| Doing Business As | ELK GROVE COOP CAB |
| Entity Type | Organization |
| Authorized Contact | LAVELL FOWLER Manger/Owner 916-424-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |