| NPI | 1871133934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENITA SMITH Business Coordinator 904-800-6347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |