| NPI | 1891509154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEQUAN WILLOUGHBY Owner 216-832-8029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |