| NPI | 1598542425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA T WALLACE CEO 740-732-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2024-08-28 |