| NPI | 1437875176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LEROY DENNIS Owner 302-387-5682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |