| NPI | 1588456644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYALL SHARDAE WILLIAMS Owner 225-806-9503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-06-25 |