| NPI | 1699319079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK FERGUSON Owner / Operator 385-274-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |