| NPI | 1891573127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYANA DIAZ VENEGAS Administrator 239-336-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |