| NPI | 1689913154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENTURA SMITH Owner/Operator 863-271-4398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2022-12-21 |