| NPI | 1811543291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL DANILO TABLADILLO Member 808-389-1746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |