| NPI | 1821551656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT Q TIGNER Managing Member 315-382-0253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |