| NPI | 1780005132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALEH I BAROUKH Owner 336-456-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ L18808290) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |