| NPI | 1871946111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID KHALID DAFAALA MOHAMED Owner 480-273-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ E00463639) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |