| NPI | 1861936031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRENTISS GIBONEY Office 866-321-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2018-01-23 |