| NPI | 1851112700 |
|---|---|
| Other Name | COMPLETE WELL-CARE SOURCE, LLC |
| Entity Type | Organization |
| Authorized Contact | MYRA VAUGHTERS WILSON CEO 980-305-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 347B00000X Bus | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |