| NPI | 1962202903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH E OMODON Member 469-691-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-30 |