| NPI | 1811532443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIME DJIDDA MAHAMAT Manager Director 201-407-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |