| NPI | 1912633728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLENE HYACINTH GARRIQUES Owner 678-665-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |