| NPI | 1013418755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB RICHARD MWANJA Administrator 804-729-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-07-10 |