| NPI | 1497541312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLANDO MAUTRELL HENDERSON Owner 314-337-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |