| NPI | 1669204186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR SUID Managing Member 727-318-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |