NPI | 1992178586 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIBA BROGDON CFO 704-701-0836 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: SC 000000000) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: SC 000000001) |
Enumeration Date | 2015-11-04 |
Last Update Date | 2015-11-04 |