| NPI | 1720693880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE SHERRRI MARSHALL Manager 916-470-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |