| NPI | 1912616582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEVIA M WASHINGTON Managing Member 904-472-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |