| NPI | 1770102220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE FLEMING Managing Partner 629-200-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |