| NPI | 1689065039 |
|---|---|
| Other Name | MIMSHACK NON-EMERGENCY MEDICAL TRANSPORTATION LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH NYAMANJIVA Owner 972-513-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |