| NPI | 1487466389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANEDRIA MONIQUE JACKSON Owner 229-326-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |