| NPI | 1679095483 |
|---|---|
| Doing Business As | PHOENIX |
| Entity Type | Organization |
| Authorized Contact | DAVID PEREZ COO 256-319-7872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |