| NPI | 1922659457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE A. BLACK Owner 904-328-6917 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |