| NPI | 1467106658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE NICHOL WILSON Owner 727-396-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-03-30 |