| NPI | 1902359417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE CAIN Owner 678-857-6879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NV NV20161278438) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: NV 2003291-048-122) |
| 347C00000X Private Vehicle (Licence: NV 2105351319) | |
| 251S00000X | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-04 |