| NPI | 1508135765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FIDEL PENTECOSTES Owner 907-250-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AK 951343) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |