| NPI | 1639685878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOYIN MIXON-EMESEH Executive Director 909-332-0276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |