| NPI | 1699635292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABBERTINA BUNDRAGE CEO 478-456-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171W00000X Contractor | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| Enumeration Date | 2025-11-15 |
| Last Update Date | 2025-11-15 |