| NPI | 1750806295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLATUBOSUN M FASASI Owner 832-788-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 171W00000X Contractor |
| 253Z00000X In Home Supportive Care | |
| 372500000X Chore Provider | |
| Enumeration Date | 2017-08-05 |
| Last Update Date | 2022-07-21 |