| NPI | 1770104879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTICE OTCHERE Owner/ President 682-433-9287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-05-19 |