| NPI | 1982104964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVON ANTHONY WASHINGTON Owner 321-948-0627 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |