| NPI | 1811202658 |
|---|---|
| Former Legal Business Name | GENESIS MEDICAL TRANSPORT |
| Entity Type | Organization |
| Authorized Contact | FRED J. OMWEGA General Manager 800-811-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: PA A-6411546) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2016-06-13 |