| NPI | 1912419987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MWANA NDOMBE IFULU Managing Partner 972-834-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |