| NPI | 1992417653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L TYSON Managing Member 980-213-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-05-15 |