| NPI | 1568921088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS RANDLE Owner 225-610-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2020-11-03 |