| NPI | 1679287460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILE GAMBRELL Owner 920-791-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-01-04 |