| NPI | 1821713991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA NICHELL MCKENZY-COOKS Owner 904-844-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |