| NPI | 1538454590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL LEROY HICKS Owner/Manager 772-216-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |