| NPI | 1932912078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS I ALICEA TORRES Owner/Msw 571-318-3809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-02-20 |