| NPI | 1801335955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAL E MOHAMED Owner 336-255-6578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ L21625517) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |