| NPI | 1467163832 |
|---|---|
| Former Legal Business Name | MOUNTAINEER TRANSPORT LLC |
| Entity Type | Organization |
| Authorized Contact | MELVIN VALENTIN LUNA Owner 208-226-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |