| NPI | 1972148435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHAWN KEITH GOVAN President 559-588-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 332U00000X Home Delivered Meals | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |