| NPI | 1902688724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARICE RIVERA Owner/ Nemt Provider 314-943-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |