| NPI | 1770210742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RECOIT MBEMBO BASALA Manager 682-256-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-03-02 |