| NPI | 1780161521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT RUSSELL MORGAN Owner 916-990-1467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-26 |