| NPI | 1871038950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIYORI T PULLEN Sole Member 254-652-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 252Y00000X Early Intervention Provider Agency | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2023-08-22 |