| NPI | 1538860044 |
|---|---|
| Former Legal Business Name | JACKSON MEDICAL TRANSPORT |
| Entity Type | Organization |
| Authorized Contact | DOMONIQUE JACKSON Owner 202-446-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |