| NPI | 1467214759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY MADUKA Administrator 682-233-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-02-27 |