| NPI | 1508164831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ORLANDO JACKSON Owner 916-821-3289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: CA 56vn784) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |