| NPI | 1902638893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LIDALE JONES President 619-254-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-10-08 |