| NPI | 1649802703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL GERARD MCCARROLL Managing Provider 336-987-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |