| NPI | 1699278416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA LUCIENDA GOLDTHREAD Owner 916-272-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2019-04-25 |