| NPI | 1659905438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER DERRICK LONG Co Owner 704-724-4988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |