| NPI | 1568157634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE BUCKMON Para Professional 347-633-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-14 |