| NPI | 1922641943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN WILSON Authorized Official 336-740-0897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |