| NPI | 1780398552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIRAH WILSON Administrator 216-855-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |