| NPI | 1639643356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER MIRACHO Manager 918-933-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-11-27 |