| NPI | 1659738847 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | ANGELA BARARD Owner 469-463-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 29281624) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 02244466) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |