| NPI | 1457191140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINTON M ROBERSON Operation Manager 779-200-1096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-08-24 |