| NPI | 1962901553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CLARK Owner 863-268-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: FL L15000150993) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |