| NPI | 1568231991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTONIO BULLOCK President And Owner 872-337-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |