| NPI | 1578302451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAIL SILASIE ZEKIROS Manager 904-994-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |