| NPI | 1578134417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY TAYLOR Owner 817-313-6164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 172A00000X Driver |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2022-03-30 |