| NPI | 1912420621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNN JACKSON Owner 623-703-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ L21049507) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-07-21 |