| NPI | 1558067801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED MAYABA WELLS Managing Director 571-265-4930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-16 |