| NPI | 1851181663 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAKESHA TYJUAN HOLMES Authorized Official 904-758-6333  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) | 
| Additional Taxonomies | 253Z00000X In Home Supportive Care | 
| 344600000X Taxi | |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-05-07 | 
| Last Update Date | 2025-05-07 |