| NPI | 1528802071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA DRAKE Chief 601-938-2435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-07-10 |