| NPI | 1992276059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHANDA NECOLE WASHINGTON Owner 334-201-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |