| NPI | 1790487148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAV PETROFF Owner/Operator 912-916-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |