| NPI | 1497387641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ELKINS Owner/Operator 662-372-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |