| NPI | 1780230557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHIAS AJAEROH General Partner 817-757-0513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |