| NPI | 1629854864 |
|---|---|
| Former Legal Business Name | OWNER |
| Entity Type | Organization |
| Authorized Contact | ALFONZO PASSMORE Owner 334-520-6871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-20 |