| NPI | 1932702693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BUFORD Independent Provider 937-581-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |