| NPI | 1427691500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVAN LATOYA BOWSER COO 910-302-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |