| NPI | 1699071654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM GILBERT Owner 928-533-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: AZ 20634211) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ 20634211) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |