| NPI | 1942652169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATWANYA MONIQUE BLISSETT CEO 229-548-9774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 251E00000X Home Health | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-08-18 |