| NPI | 1639851603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE DAJUON MORRIS Member Manager 813-770-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |