| NPI | 1982484192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MISSIKER Managing Owner 571-388-9558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |