| NPI | 1053869396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS POWELL Owner 703-304-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA 1600009411) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |