| NPI | 1518487891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIL GBOYEGA MUSTAPHA Manager 469-773-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |