| NPI | 1649040213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA TUGGLE Owner 614-800-5324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-03-25 |