| NPI | 1659917490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE A MOON Administration/Owner 904-683-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |