| NPI | 1851953244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINENE BEAVER Non Medical Transportation Provider 785-438-7592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |