| NPI | 1962780296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILSON Owner/Operator 909-419-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |