| NPI | 1982271334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE WILLIAMS Member 469-616-1197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2022-02-22 |