| NPI | 1699308999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ALEXANDER Owner 267-743-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |