| NPI | 1912609728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALONNIE MOORE Owner/Operator 623-419-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-04-22 |