| NPI | 1659079325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSON CLARK Owner/Operator 575-408-9827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 344600000X Taxi |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-03-28 |