| NPI | 1801604640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA CHRISTIANSEN Senior Admin Analyst 209-533-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347B00000X Bus |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-26 |