| NPI | 1669234357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MAURICE BRAZIL Manager 478-488-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |