| NPI | 1932952199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANIE T MIMS Executive Director/Owner 682-999-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |