| NPI | 1730932393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLACIA MARIE JOHNSON Owner/Manager 860-655-6236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |