| NPI | 1710119599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUIN WEATHERSPOON Owner/Administrator 480-227-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |