| NPI | 1578288924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHMO MOHAMED KASSIM Owner Manager 920-930-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |