| NPI | 1740936293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH THOMPSON Owner/Operator 267-826-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |