| NPI | 1740924547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUPORIA MOORE Owner 251-509-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 344600000X Taxi |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |