| NPI | 1861229502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY J COPELAND Executive Director 863-812-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |