| NPI | 1508618844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YALONDA CANNON Business Manager 662-822-1273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-10 |