| NPI | 1982255808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY DORELL TABRON Director 252-676-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2021-09-07 |